Individual
SEAN R TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
924 NW 58TH ST, OKLAHOMA CITY, OK 73118-5915
(405) 218-2500
(405) 218-2560
Mailing address
924 NW 58TH ST, OKLAHOMA CITY, OK 73118-5915
(405) 218-2500
(405) 218-2560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27982
OK
Other
Enumeration date
03/23/2010
Last updated
10/21/2020
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